Education in Heart
VALVE DISEASE
Surgery of valve disease: late results and late complications
Peter GrovesUniversity Hospital of Wales, Heath Park, Cardiff,
UK
Correspondence to: Dr Peter Groves, Department of Cardiology, University Hospital of Wales, Heath Park, Cardiff CF4 4XW, UK groves.peter@cardiffandvale.wales.nhs.uk
| The first 150 words of the full text of this article appear below. |
 |
Introduction |
|---|
Valve surgery remains the treatment of choice for most significant valve lesions. Symptomatic improvement has been well demonstrated in a number of studies and is usually sustained into the late postoperative period, especially when valve replacement is undertaken for stenotic lesions. Invasive studies have shown that symptomatic relief is consistently accompanied by haemodynamic improvement, and the overall superiority of surgical intervention over conservative medical treatment for most patients with advanced valve disease has been firmly established.
| |
Late results after valve surgery |
|---|
The analysis of survival rates of patients following valve
replacement relative to age and sex matched populations have shown an
impaired prognosis in all but a minority.1 In patients
older than 65 years undergoing aortic valve replacement for aortic
stenosis, relative survival is "normalised" after the first
postoperative year, but in all other indications an excess late
mortality has been observed in surgical patients. Long term follow up
studies consistently report better survival rates in
CiteULike 
Complore 
Connotea 
Del.icio.us 
Digg 
Reddit 
Technorati What's this?
This article has been cited by other articles:
-
Fukuda, S., Gillinov, A. M., McCarthy, P. M., Stewart, W. J., Song, J.-M., Kihara, T., Daimon, M., Shin, M.-S., Thomas, J. D., Shiota, T.
(2006). Determinants of Recurrent or Residual Functional Tricuspid Regurgitation After Tricuspid Annuloplasty. Circulation
114: I-582-I-587
[Abstract] [Full Text] -
Seiler, C.
(2004). Management and follow up of prosthetic heart valves. Heart
90: 818-824
[Full Text] -
(2003). New murmurs in patients with prosthetic heart valves. Postgrad. Med. J.
79: 480-480
[Full Text] -
Bloomfield, P.
(2002). Choice of heart valve prosthesis. Heart
87: 583-589
[Full Text]
- Full Text
- Full Text (PDF)
- Submit a response
- Alert me when this article is cited
- Alert me when eLetters are posted
- Alert me if a correction is posted
- Citation Map
Services
- Email this link to a friend
- Similar articles in this journal
- Similar articles in PubMed
- Add article to my folders
- Download to citation manager
- Request Permissions
Citing Articles
Google Scholar
PubMed
Topic Collections
Bookmark with
Register for free content
The full back archive is now available for all BMJ Journals. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006 right back to volume 1 issue 1. Register here to access the free archive of all BMJ Journals.
Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.
